When it comes to using the term “Patient Advocate” you need to make sure you are clear who you are referring to. In most estate planning documents, the Patient Advocate is the person you designate to make medical decisions for you when you cannot. Typically, a licensed physician or two licensed physicians (depending on what your document requires) must first determine that you are not capable of making your own decisions. The Patient Advocate typically has the power, per the document, to make decisions regarding placement in a care facility, medical treatment and to address life support issues. In other words, they are acting as your “guardian.”
However, the term Patient Advocate has also been used in the sense of “hired help” that is needed to sort out medical billing or medical scheduling. This Patient Advocate most likely will not be making medical decisions for you, but they will serve as a health advocate for such things as:
- Negotiating discounts and payment plans for major medical bills
- Managing and filing insurance paperwork
- Helping patients find and schedule appointments
- Review patient records to make sure billing is correct
Patient Advocates of this nature are designed to help the elderly client that are confused by billing issues and have difficulty dealing with things over the phone. The cost of their services is typically not covered by insurance, so be prepared to pay out of pocket. Additionally, when choosing a Patient Advocate for billing and insurance assistance, make sure you ask for references, verification of bonding and proof of experience. Remember, the Patient Advocate now has your personal information and you want to prevent identity theft or fraud.

